$1000 Scholarship -- Now Accepting Applications From Second Semester Sophomores and Juniors.

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1 8231 Northwoods Dr., Ste B * Lincoln, NE * (402) $1000 Scholarship -- Now Accepting Applications From Second Semester Sophomores and Juniors. TO: BUSINESS ADMINISTRATION OFFICE, FINANCIAL AID OFFICES NEBRASKA COLLEGES The Independent Insurance Agents of Nebraska Foundation is now accepting applications for the Curtis M. Elliott Memorial Scholarship in the amount of $1000. The Foundation is a non-profit corporation organized under the laws of the State of Nebraska in 1989 for educational uses and purposes. Selection of the scholarship winner will be based on scholastic application, as well as participation and leadership in school and community activities, and educational goals. Applicants must be a Nebraska resident enrolled as a full-time student and at least a second semester college sophomore or a junior at an accredited postsecondary institution located in Nebraska. Scholarship guidelines and application are enclosed. Please announce the availability of the scholarship to your students. The applications must be postmarked by March 1, Please do not hesitate to call Carol McClelland, Secretary-Treasurer, in Lincoln at (402) or if you have any questions. Thank you for your assistance! Dave Chastain, CPCU, CLU President Enclosures

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3 INDEPENDENT INSURANCE AGENTS OF NEBRASKA FOUNDATION SCHOLARSHIP PROGRAM Dr. Curtis M. Elliott Memorial Scholarship Guidelines 1. Applicant must be a Nebraska resident enrolled as a full-time student and at least a current second-semester sophomore or a junior at an accredited post-secondary institution located in the state of Nebraska. 2. Applicant must have an overall cumulative grade average of B or its equivalent, or better, in order to qualify. The selection committee will also consider the applicant s participation and leadership in school and community activities, and educational goals. 3. There are no criteria relative to gender or financial need. 4. Applicant must be a business major with a preference for an insurance-related field. 5. The Independent Insurance Agents of Nebraska Foundation will determine the number and amount of scholarships to be awarded each year. These numbers and amounts may change annually. 6. Applicants must submit evidence of being enrolled as at least a second-semester college sophomore along with an official transcript to the selection committee. Scholarships are not awarded until the recipient is enrolled as a junior. The scholarships will be paid directly to the college or university where the recipient is enrolled and reports will be required from the institution regarding the recipients enrollment in the institution. 7. Selections are made by a committee consisting of Foundation directors and community business and professional leaders. 8. There is no limitation on persons who are eligible recipients of scholarships. Scholarships will be given without regard to race, creed, religion, national origin, sex, or employment status of prospective recipients or of any relative of any prospective recipient. 9. In the event the scholarship winner does not accept the scholarship by failing to enroll as a junior in a college or university, the gift will lapse. Scholarship winners are only eligible one time in their college career. 10. Applications must be postmarked by March 1, 2015.

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5 INDEPENDENT INSURANCE AGENTS OF NEBRASKA FOUNDATION SCHOLARSHIP PROGRAM Application for Dr. Curtis M. Elliott Memorial Scholarship This application must be postmarked by March 1, 2015 to: Selection Committee, Independent Insurance Agents of Nebraska Foundation, 8231 Northwoods Dr., Ste B, Lincoln, NE Please print or type. Section I. Information to be supplied by applicant: Student s Full Name: Student s Address: Phone: Date of Birth: Full name of Parents or Guardians: Permanent Address of Parent or Guardian (street or route, town, county, state, zip): Name of College/University: Address of Financial Aid Office: Declared Major: Degree student is seeking: Intended period of study: Following graduation, what is student s plan for employment? Section II: On a separate sheet of paper, briefly summarize your school and community activities. List organizations of which you are a member and offices held. Section III: On a separate sheet of paper, please explain how your higher education relates to a permanent career objective? (No longer than one page in length.) Page 1 of 2

6 Section IV: Please list all other scholarships, awards or financial aids for which you have applied, or have been granted for the coming school years. Name of Financial Aid Value Has it been granted TRANSCRIPT MUST BE ATTACHED TO THE APPLICATION IN ORDER FOR APPLICANT TO BE CONSIDERED FOR A SCHOLARSHIP BY SELECTION COMMITTEE. The applicant herewith consents that the Scholarship Selection Committee be fully informed as to the applicant s scholastic standing and other factors having a bearing on this application. If the applicant is chosen as a scholarship winner, the applicant agrees to provide the Selection Committee with evidence of being enrolled as a college junior and an official college transcript after his/her first sophomore year of college. Signature of Applicant After you have completed your part of this application, present this to your financial aid adviser for certification and delivery to the scholarship selection committee. Section V. Information to be supplied by Financial Aid Adviser. This is to certify that the above applicant is a full-time student and at least a current second-semester sophomore. The Committee would appreciate a brief statement concerning your evaluation of this applicant s citizenship and worthiness for scholarship consideration. Date: College/University: Mailing Address: APPLICATION MUST BE POSTMARKED BY MARCH 1, 2015 TO: Selection Committee Independent Insurance Agents of Nebraska Foundation 8231 Northwoods Dr., Ste B Lincoln, NE Financial Aid Adviser Page 2 of 2

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